Schedule of Benefits - Individual and Family PPO Plans
Classic
$1000 deductible without Dental
$2000 deductible without Dental
$5000 deductible without Dental
$1000 deductible with Comprehensive Dental
$2000 deductible with Comprehensive Dental
$5000 deductible with Comprehensive Dental
Select
$1000 deductible with Standard Dental
$2000 deductible with Standard Dental
$5000 deductible with Standard Dental
$1000 deductible with Comprehensive Dental
$2000 deductible with Comprehensive Dental
$5000 deductible with Comprehensive Dental
Classic for Kids
$1000 deductible without Dental
$2000 deductible without Dental
$5000 deductible without Dental
$1000 deductible with Comprehensive Dental
$2000 deductible with Comprehensive Dental
$5000 deductible with Comprehensive Dental
Savvy100
$2000 deductible without Dental
$4000 deductible without Dental
$2000 deductible with Comprehensive Dental
$4000 deductible with Comprehensive Dental
ShortTerm
$500 deductible without Dental
$1000 deductible without Dental
$2000 deductible without Dental
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